KelRN215 BSN, RN

Pedi

Member

All Content by KelRN215

  1. KelRN215

    Peds Heme-Onc nursing- question/advice

    The impending emergencies are definitely still there in oncology. Your kid can go from fine to septic to dead very quickly if he's
  2. KelRN215

    Where would I find pediatric dosages for medication?

    If a PA cannot find the correct doses for pediatric meds on his own then he has no business seeing kids. Seriously. And he can call the pharmacy
  3. KelRN215

    Whats the normal intake and output for a 5 wk old?

    Was this child being fed otherwise? Like via NG or on TPN? Maintenance fluid for children (look this up if you haven't learned about it) is 4 mL/kg/hr for the first 10 kg of body weight. So, no,...
  4. KelRN215

    Accessing central lines/IV starts

    Also, I have to ask, what kind of manager would allow you to go to a visit for a skill you're not trained to do? Well, I actually know the answer to that question (someone who cares only about...
  5. KelRN215

    Accessing central lines/IV starts

    Accessing a port is something that you have no business doing on your own in the home if you have never done it before. From your OP, it sounds like you don't even know what kind of access this...
  6. KelRN215

    Nonverbal Patient Communication Tactics

    When I saw the title of this thread, I thought it was going to be about communicating with non-verbal patients as well since I've always had non-verbal children as a significant percentage of my...
  7. OP, as you can see, it is HIGHLY dependent on your area of the country. My patients address me by my first name. I've had a few over the years who called me "Nurse First Name", mainly because the...
  8. KelRN215

    Help with fluids/electrolytes.

    You can give TPN through any kind of central access, not just a PICC line. Kids on long term TPN (i.e. short gut kids) almost always have broviacs. Kids pull PICCs out way too often for them to be...
  9. KelRN215

    Dosage Calculation Question

    No. You don't have 10 mg/mL for all 50 mL of fluid. The medication is 10 mg/mL and OP needs to add 20 mg (2 mL) to 50 mL of fluid. The final concentration is WAAAAYYYY less than 10 mg/mL since she...
  10. KelRN215

    meds that you can't mix?

    You check compatibility before EVERY time you think about mixing meds.
  11. KelRN215

    Help with fluids/electrolytes.

    If you have a patient who's NPO long enough for that to happen, they need a lot more than maintenance IVF and would probably be on
  12. KelRN215

    ADN vs. BSN in Boston

    They were willing to hire you as what? As a CNA? That's not surprising, most hospitals will hire anyone with a pulse and basic English literacy into a CNA role and hiring students (who haven't...
  13. KelRN215

    Can a Nurse Practitioner be a school nurse

    That's facility/policy specific depending on the
  14. KelRN215

    Wonder what radiology nurse do

    Interventional radiology definitely involves nurses. If children are seen in this radiology department, they often get sedated for radiology scans/procedures that adults would do awake so there's a...
  15. KelRN215

    Rectal Medication

    Bwahahahahaha that's the greatest thing I've read all
  16. KelRN215

    child abuse question?

    Any facility that cares for children has policies in place re: this. When I worked in the hospital, either the Social Worker or the Child Protection Team were the ones to contact CPS. Now that I am...
  17. KelRN215

    Justifiable situations when to break policy?

    The policy was that they were allowed one meal/day from the cafeteria in that situation. Most parents (other than breast feeding Moms) were not allowed to order from the patient menu at all. How...
  18. KelRN215

    Rectal Medication

    What are some common meds that you give rectally? Have you ever seen a Fleets Enema in IV form? Or
  19. KelRN215

    UA/drug test failed

    It can. As can poppy seeds. Some drugs cause false positives for crazy things. I once had a young child (somewhere between 4-6, I think) test positive for PCP. Apparently Lamictal (an...
  20. KelRN215

    Brain bleed surviver

    The person for whom you are requesting help should discuss this issue with his/her
  21. KelRN215

    Justifiable situations when to break policy?

    When a patient (child) is dying and parents don't want to leave the room out of fear that he will pass when they are not present. Neither has eaten in days. I'd order food for them from the hospital...
  22. KelRN215

    Concerned

    Not ok if the drug test comes back positive for opiates. Fioricet is butalbital, acetaminophen and caffeine. No opiates. Butalbital is a barbiturate. The meds missing are benzos and opiates so if...
  23. KelRN215

    what is the 1st step to obtain license in hawaii

    I don't see why you'd need the physical license to begin that process. Most state BoNs list their licenses on their website. The requirements for licensure by endorsement in Texas are on their BoN's...
  24. KelRN215

    Where to live in boston

    Ugh, the green line is the worst line on the MBTA. Live on the Orange line or by the 39 bus if you can. It took me less or the same time taking 2 buses from Roslindale to get to Longwood than it did...
  25. KelRN215

    ADN vs. BSN in Boston

    What hospitals are these? Because for the big Boston hospitals that most new grads desire (BIDMC, BWH, MGH, BMC, Tufts) it's absolutely untrue. There are ample BSN programs in the city and since the...